ICU患者压力性损伤风险评估工具准确性的网状Meta分析  

Accuracy of pressure injury risk assessment tools in ICU patients:a network Meta-analysis

作　　者：袁晨璐 焦彦霞 魏育婷 邬宇涵 张红燕 韩琳[1,2] Yuan Chenlu;Jiao Yanxia;Wei Yu-ting;Wu Yuhan;Zhang Hongyan;Han Lin(Evidence-based Nursing Centre,School of Nursing,Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学循证护理中心/兰州大学护理学院,甘肃兰州730030 [2]甘肃省人民医院

出　　处：《护理学杂志》2023年第1期59-63,68,共6页Journal of Nursing Science

基　　金：甘肃省人民医院国家科研培育计划基金项目(19SYPYA-4);甘肃省卫生健康行业科研项目(GSWSHL2021-003);美国中华医学会(CMB)项目(#20-374)。

摘　　要：目的评价不同压力性损伤风险评估工具对ICU患者压力性损伤风险预测的准确性,为准确筛查ICU压力性损伤风险患者提供依据。方法计算机检索PubMed、Cochrane Library、CINAHL、EMbase、Web of Science、中国知网、维普网、万方数据和中国生物医学文献服务系统中ICU患者压力性损伤风险评估工具相关研究,经文献筛选、质量评价、资料提取后,采用ANOVA模型实现基于贝叶斯方法的诊断实验准确性网状Meta分析。结果共纳入28篇文献,共计11221例患者,涵盖12个压力性损伤风险评估工具。Meta分析结果显示,改良版Cubbin&Jackson量表优势指数最高,灵敏度[0.72,95%CI(0.59,0.82)],特异度[0.75,95%CI(0.63,0.84)],其次为EVARUCI量表,灵敏度[0.75,95%CI(0.54,0.90)],特异度[0.65,95%CI(0.42,0.83)];Braden量表优势指数最低,灵敏度[0.66,95%CI(0.62,0.71)],特异度[0.58,95%CI(0.54,0.61)]。结论改良版Cubbin&Jackson量表、EVARUCI量表具有较好的诊断试验准确性,临床医护人员评估ICU患者压力性损伤风险时可优先选用。Objective To evaluate the accuracy of different pressure injury risk assessment tools in predicting the risk of pressure injury in ICU patients,and to provide evidence for accurate screening of patients at risk of pressure injury in ICU.Methods PubMed,Cochrane Library,CINAHL,Embase,Web of Science,CNKI,VIP database,Wanfang database,and China Biomedical Literature Service System were electronically searched for literature about pressure injury risk assessment scales in ICU.After literature screening,quality appraisal,and data extraction,the ANOVA model was used to achieve the network Meta-analysis of the accuracy of diagnostic experiments based on the Bayesian method.Results A total of 28 articles with 11,221 patients were included,involving 12 pressure injury risk assessment tools.The results of the Meta-analysis showed that the superiority index of the Cubbin&Jackson Revised scale was the highest,with sensitivity[0.72,95%CI(0.59,0.82)]and specificity[0.75,95%CI(0.63,0.84)],followed by the EVARUCI scale,with sensitivity[0.75,95%CI(0.54,0.90)],specificity[0.65,95%CI(0.42,0.83)].The superiority index of Braden scale was the lowest,with sensitivity[0.66,95%CI(0.62,0.71)]and specificity[0.58,95%CI(0.54,0.61)].Conclusion The Cubbin&Jackson Revised scale and the EVARUCI scale have good diagnostic accuracy and can be used preferentially when clinical medical staff assesse the risk of pressure injury in ICU patients.

关 键 词：ICU 压力性损伤 风险评估工具 改良版Cubbin&Jackson量表 EVARUCI量表 灵敏度 特异度 网状Meta分析 

分 类 号：R472[医药卫生—护理学]